A Gentle Treatment Option for Vesicoureteral Reflux (VUR) in Children
Deflux® is a minimally invasive injection used to treat vesicoureteral reflux (VUR) in children — a condition where urine flows backward from the bladder toward the kidneys. VUR increases the risk of recurrent urinary tract infections (UTIs) and, over time, may lead to kidney damage if not treated early.
This gentle procedure involves injecting a soft gel into the bladder wall to stop urine from refluxing in the wrong direction. Deflux injection is typically done as a day surgery under general anaesthesia, with minimal discomfort and a short recovery time. Dr. Roger offers Deflux injection treatment in Kuala Lumpur for children with lower grades of VUR who may benefit from this non-surgical approach.
📩 Have questions about Deflux injection or VUR treatment for your child?
We’re here to help. You’re welcome to get in touch to learn more or schedule a consultation with Dr. Roger in Kuala Lumpur.
📞 +603 2160 0000 | 📱 WhatsApp +6012 999 7262 | 💻 Appointment form
📋 Referring a patient for Deflux injection or VUR assessment?
Dr. Roger accepts referrals for paediatric urology cases, including minimally invasive treatment options for vesicoureteral reflux.
📧 Email: contact@drrogerurologist.com | Referral Enquiries
What Is Vesicoureteral Reflux (VUR)?
Vesicoureteral reflux (VUR) is a condition where urine travels backwards from the bladder into one or both ureters, sometimes reaching the kidneys. It increases the risk of recurrent urinary tract infections (UTIs) and, if left untreated, may lead to long-term kidney damage. VUR is most commonly diagnosed in infants and young children, particularly following a UTI or during screening for urinary problems.
While mild reflux may resolve on its own, moderate to severe cases often require medical treatment. In some children, a Deflux injection offers a safe and effective, minimally invasive option to help prevent long-term complications from VUR.

Symptoms of Vesicoureteral Reflux (VUR) in Children
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Recurrent urinary tract infections (UTIs)
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Fever without an obvious source (especially in infants)
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Pain or burning sensation during urination
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Bedwetting or urinary incontinence, especially in older children
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Poor growth or failure to thrive
In many cases, vesicoureteral reflux is diagnosed through urine tests or imaging such as a MCUG (micturating cystourethrogram), particularly after a UTI or when symptoms suggest underlying urinary problems.
What Is Deflux® and How Does It Work?
Deflux® is a gel-like substance made of hyaluronic acid and dextranomer — materials that are biocompatible and naturally broken down in the body over time. This injection is used in children with vesicoureteral reflux (VUR) to help stop urine from flowing backward from the bladder to the kidneys.
During the Deflux injection procedure:
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A fine cystoscope (tiny camera) is inserted through the urethra
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The Deflux gel is injected just below the ureteral opening inside the bladder
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The gel creates a bulge that reinforces the valve mechanism, helping to prevent reflux
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The procedure usually takes less than 30 minutes and is done under general anaesthesia

Benefits of Deflux Injection for Vesicoureteral Reflux (VUR) in Children
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Minimally invasive – no incisions or stitches
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Short procedure and fast recovery time
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Performed as a day surgery under general anaesthesia
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Helps prevent urinary reflux and reduces the risk of recurrent UTIs
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May lower the risk of kidney damage from ongoing VUR
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High success rates, especially for low to moderate grades of reflux
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Often avoids the need for prolonged antibiotic use in children
What to Expect After the Procedure
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Most children are admitted overnight for observation to ensure safe recovery and monitor for any early signs of infection or urinary retention.
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Mild discomfort during urination or increased urinary frequency may occur for 1–2 days.
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Encouraging fluid intake and regular voiding helps support healing.
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A follow-up ultrasound or MCUG scan may be scheduled to assess treatment success.
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Parents will receive clear instructions on what to monitor at home, including signs of fever, pain, or changes in urination.
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Most children can return to normal activities within a few days.
Is Deflux Right for Your Child?
Deflux is typically considered for:
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Children with Grade II–III vesicoureteral reflux (VUR) who experience recurrent urinary tract infections (UTIs)
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Parents who wish to avoid long-term antibiotic use or frequent medication
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Cases where VUR does not resolve with time or conservative treatment
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Selected patients with Grade IV–V VUR, depending on anatomy and overall clinical situation
A detailed consultation and imaging review will help determine whether Deflux injection is the most appropriate option for your child’s urinary reflux.
Frequently Asked Questions About Deflux Injection
1. Is Deflux safe for children?
Yes. Deflux has been used safely for many years to treat vesicoureteral reflux (VUR) in children. It’s made from biocompatible materials that break down naturally in the body over time.
2. Does Deflux require surgery?
No. Deflux is a minimally invasive procedure done under general anaesthesia. It involves no incisions and is usually completed in less than 30 minutes.
3. How long is the recovery time after Deflux?
Most children are observed overnight and return to regular activities within a few days. Any mild discomfort or changes in urination usually resolve quickly.
4. Is Deflux a permanent cure for VUR?
Deflux can provide long-term resolution in many cases, especially in children with low to moderate grades of VUR. However, follow-up imaging is needed to confirm success.
5. What if Deflux doesn’t work?
If VUR persists, further evaluation is done. Some children may require repeat injection or alternative treatments, depending on their individual condition.
📩 If you’re considering Deflux injection for your child, or have questions about vesicoureteral reflux (VUR), we’re here to help.
Dr. Roger offers compassionate, evidence-based care for children with urinary reflux at Prince Court Medical Centre in Kuala Lumpur.
📞 Call: +603 2160 0000 | 📱 WhatsApp: +6012 999 7262 | 💻 Appointment form
📋 Referrals from doctors and paediatricians are welcome.
For coordination or clinical discussion, please reach out via contact@drrogerurologist.com | Referral Enquiries.